Doula, master's of public health graduate, new IBCLC, and feminist. I'm reflecting on my studies, reflecting on other people's studies, posting news, telling stories, and inviting discussion on reproductive health from birth control to birth to bra fitting.

"Elective induction significantly increased the risk of cesarean delivery for nulliparas, and increased inhospital predelivery time and costs."Abstract here.

If you body is not ready to give birth, induction greatly increases your risk for a cesarean.

"Compared with spontaneous onset of labor, medical and elective induction of labor in nulliparous women at term with a single fetus in cephalic presentation is associated with an increased risk of cesarean delivery, predominantly related to an unfavorable Bishop score at admission."Abstract here.

Unless you have a very pressing medical indication, induction is not indicated, because induction greatly increases your risk for a cesarean.

"While these interventions often are medically indicated for the well-being of mothers and infants, the evidence supporting their benefits when used electively is controversial."Abstract here.

4 comments:

I am bummed out. I could not click on your abstracts. I would like to look them up in the medical library. I also want to know who did them. I have noticed advocates of NCB coming up with studys that low and behold prove their point. I don't have a dog in this race. I just want to find out what is and isn't a good idea. Unfortunately, that is anything but simple these days. Could you write up the names of the studies so I can take a look. Thanks

This is the study I want to make up. I want to look at how long someone is in the hospital and the rate of c-section. I would like to include the few healthy women who are in prodromal labor and should be sent home but are not.I would like to see what happens. I think their will be a corrolation/cause and effect of people who are in a labor room taking up space. Time in labor room would increase chance of C-section. Is there a study like that out yet. It makes perfect sense. If you are in a hospital, you will get some treatment. If you don't want treatment, perhaps go to the mall for a while. Go swimming. Take the kids to the park. But do it close to the hospital. Perhaps if there was a place to hang out near the hospital for the women who don't need intervention but don't want to venture too far in case they kick in to labor fast.

It's weird, I couldn't get to them either. I think there may be something wrong with the website right now because when I posted them, I remember checking to make sure they were accessible even without an academic log-in. If they're still not working in a day or two I'll have to fix the links. That's a bummer.

I think we all come up with studies that prove our point! The best I've done so far - and I guess anyone - is to understand how studies are conducted and read them carefully for design flaws. There is no perfect study, but you want to make sure you're taking the flaws into account in weighing the evidence.

That's an interesting iea for a study! If we could randomize healthy women in prodromal labor to stay or go home, that might work. Of course, they'd have to be willing to participate and thus possibly get randomized to stay. That might skew the sample (I know most people planning on a natural birth would probably not be willing to participate) but it would be interesting.